IndividualActive
Alexander Komerdelj
NPI 1821843004 · Assisted Living Facility · Fountain Hills, AZ
Provider details
- NPI number
- 1821843004
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
15663 E Richwood Ave
Fountain Hills, AZ 85268-1531
Phone: (480) 415-5721
Fax: (480) 837-4803
Approximate (ZIP-level) locationGet directions
Mailing address
15743 E Jericho Dr
Fountain Hills, AZ 85268-3912
Registry dates
- Enumerated
- 2024-04-20
- Last updated
- 2024-04-20
- Certified
- 2024-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.